PERMANENT INITIAL RADIATION THERAPIST - State of Oregon 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1: Personal & Employment Information. Fill in your last name, first name, middle name, and mandatory social security number. Ensure all contact details are accurate, including your home and work email addresses.
3. Proceed to Part 2: Credentialing. Enter your ARRT Registry Number and attach a copy of your ARRT Wallet Card as required.
4. In Part 3: Education in Medical Imaging, provide details about your educational background. If applicable, indicate if you were trained on the job.
5. If you work with a temporary agency, complete Part 4 with the agency's information. Ensure all fields are filled accurately.
6. For Part 5: Felony & Misdemeanor Arrest and Conviction Record, answer truthfully regarding any arrests or disciplinary actions. Attach necessary documentation if applicable.
7. Finally, review and sign the Agreement in Part 6, certifying that all information is accurate before submitting your application.

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